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Oklahoma Board of Medical Licensure and Supervision

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ALLEN, RUSSELL FLOYD       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 4401 N MERIDIAN
OKLAHOMA CITY OK 73112

Address last updated on 5/21/2015
Phone #: (405) 609-1671
Fax #: (405) 609-1697
County: OKLAHOMA
License: 8051
Dated: 6/12/1963
Expires: 6/1/2016
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1963
CME Year: 2018
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Locations: Hours: Languages:
4401 N MERIDIAN
OKLAHOMA CITY OK 73112

Phone #: (405) 609-1671
Fax #: (405) 609-1697
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 12:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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